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Wisconsin rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $54.95 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $53.70 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $81.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $64.57 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.84 / $63.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $40.74 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $18.20 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.14 / $41.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $19.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $47.86 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $11.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $42.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.60 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $44.67